Kua pāngia koe e te mate pāwera o te ate nā te kōhatu i roto i te pūkahukahu? (He mate pāwera o te pūkahukahu) Me kōrero tātou mō tēnei!

Kua rongo kē koe ka taea e ngā kōhatu pūkahukahu te whakapūpū, te mumura rānei i te repe taiaki? Koinei te ingoa o ngā tākuta ko te `(Gallstone Pancreatitis)`, ko te `(Biliary Pancreatitis)` rānei. He mate kino pea tēnei. Kaua e manukanuka, nā te mea he pai ngā maimoatanga mō tēnei. I tēnei rā, ka kōrerohia e tātou ngā mea katoa i roto i te huarahi māmā ka taea e koe te mārama.

Nā, he aha tēnei repeure?

He kupu ngāwari noa iho, he okana nui te repe taiaki kei roto i tō tātou puku, i muri i te puku. He rite ki tētahi wheketere iti i roto i tō tātou tinana. Māna e whakaputa ngā whākōkī nakunaku tino nui hei āwhina i a tātou ki te nakunaku i te kai e kainga ana e tātou. Ina kai tātou, ā, ka tae te kai ki te whekau iti, ka whiwhi te repe taiaki i tētahi tohu hei tuku i ēnei whākōkī. Ka haere ēnei whākōkī mai i te repe taiaki mā roto i tētahi ngongo iti (te awaawa repe taiaki) ka hono atu ki tētahi ngongo nui ake (te awaawa aukume noa). Mā roto i tēnei ngongo nui ka haere ngā whākōkī, me te aukume mai i te ate me te pūkahukahu, ki te wāhanga o runga o te whekau iti. Koinei te wāhi e puta ai te tukanga nakunaku.

Āe, he aha ēnei kōhatu pūkahukahu?

Ka puta ngā kōhatu i roto i tō tātou pūkahukahu. He pēke iti te pūkahukahu e kohi ana, e penapena ana i te au, e hangaia ana e te ate. He maha ngā matū kei roto i tēnei au. I ētahi wā, ki te nui rawa te cholesterol, te bilirubin rānei i roto i tēnei au, ka rite ki te paru i raro i te pūkahukahu. Ki te kore e whakawāteatia tika te pūkahukahu, ka kohia pea tēnei rauemi rite ki te paru, ā, ka roa te wā ka hanga kōhatu. Koinei ngā mea e kiia nei e tātou he kōhatu.

He mea kino te pancreatitis i puta mai i ngā kohatu o te kapia?

Āe, he mate kino tēnei. Mēnā ka pāngia koe e te mate pāwera, he mea nui kia rapu awhina hauora i te wā e taea ai. Tērā pea he ngawari, he kino rānei ngā tohu. Heoi, ki te roa te wā kāore koe e whiwhi maimoatanga, ka kino haere te mate. Ina koa mēnā ka mau te kōhatu ki roto i ngā awaawa o te ate, ka nui ake te tūponotanga ka puta he raruraru. I ngā wā kino, ka tūpono pea te ora.

He pēhea te noa o tēnei mate?

He raruraru noa te kōhatu pūkahukahu mō te tini o te tangata. Engari kāore i te katoa e pāngia ana e ēnei. Hei tauira, i te Hononga o Amerika, e kiia ana he 10% ki te 15% o te tangata he kōhatu pūkahukahu. Engari 0.1% noa iho o aua tāngata ka pāngia e te pancreatitis nā te mea he kōhatu pūkahukahu. Tata ki te 0.4% o te taupori i te Hononga o Amerika ka pāngia e te pancreatitis whakapeka. Ko te 35% o ēnei take te take o ngā kōhatu pūkahukahu. Ko te tuarua o ngā take tino noa ko te inu waipiro.

He aha ngā take o ngā kōhatu o te pūkahukahu?

He uaua ki te tautuhi i tētahi pūtake kotahi o ngā kohatu i roto i te pūkahukahu, engari he maha ngā āhuatanga ka whai wāhi ki ēnei:

• Mena he teitei te taumata o te cholesterol i roto i tō toto, tera pea nā te kai e kainga ana e koe, nā te mate pākia rānei o te pūnaha io. Mēnā he nui te cholesterol, ka taea hoki te kohikohi i roto i tō au.
• Mena he mate ate tōu, ka piki ake pea ngā taumata bilirubin i roto i tō toto me tō au.
• Mena he mate mahi kei reira kāore e tika te whakawātea o te pūkahukahu.
• Ka taea hoki e te nui rawa o te estrogen te whakaroa i te whakawātea o te pūkahukahu. Koia te take he nui ake tēnei mōrearea i te wā e hapu ana.

Me pēhea te puta o te pancreatitis i roto i ngā kōhatu o te puku?

Whakaarohia kei te honoa tō repe taiaki, tō pūkahukahu, me tō awaawa aukume tetahi ki tetahi mā te ngongo e kiia nei ko te awaawa aukume noa. I te nuinga o te wā, ka rere te aukume mai i tō pūkahukahu mā roto i tēnei awaawa aukume noa ki roto i tō whekau iti. Engari ki te mea he kōhatu aukume tōu, ka taea hoki e rātou te haere mā roto i tēnei awaawa.

Ahakoa ka ngawari te puta o ngā kōhatu i te wā e tamariki ana, ka nui haere tonu i te wa e puta ana te au hou i runga i a rātou. Nō reira, ko te kōhatu i ngawari te puta i mua ka piri pea i muri mai, ina koa he whaiti te awaawa. Ka taea e te kōhatu au te piri ki roto i te awaawa repeure, te piri rānei ki waho o te awaawa, ka puta ai te pancreatitis.

E rua ngā ariā mō te pūtake o te pancreatitis i tēnei aukati:

1. Ko te ariā tuatahi, ina noho te kōhatu ki waho o te awa au, ka taea e te au te rere whakamuri ki roto i te repe taiaki. He tino waikura te au, ka whakapataritari i te repe taiaki.

2. Ko te ariā tuarua, ko ngā whākōkī repeure te take o te mumura. He mea hanga ēnei whākōkī hei nakunaku i ngā pūmua, ngā warowaihā, me ngā ngako i roto i te whekau iti. Nō reira, he tino waikura hoki. Ahakoa e tiakina ana tō tātou whekau iti mai i ēnei e te arai hūpē matotoru, kāore he parenga pēnei i te repeure.

I te nuinga o te wā, ka whakahohehia ngā whākōkī repeure i muri i te taenga ki te whekau iti. Heoi, ki te puta he pēhanga nui nā te aukati i te awa repeure, ka taea te whakahohe i ngā whākōkī e taua pēhanga.

Heoi, e mōhio ana tātou he hononga take-me-pānga kei waenganui i ngā kōhatu o te pūkahukahu me te mate pāwera nui. Ina haere koe ki te hōhipera mō te maimoatanga, ka ora te mate pāwera ina tangohia ngā kōhatu i roto i ngā awaawa o te pūkahukahu.

He aha ngā tohu o te pancreatitis e puta mai ana i ngā kohatu o te puku?

Ko ngā tohu e kitea whānuitia ana ko:

• Mamae puku nui. Tērā pea ka rongo koe i tēnei i te taha maui o runga o tō puku, te wāhi kei reira tō repeure. Tērā pea ka rite ki te maripi e werohia ana koe, e kōpeketia ana rānei koe i roto. Tērā pea ka horapa atu tēnei mamae ki tō uma, ki tō pakihiwi, ki tō tuara rānei.
• Whakapairuaki me te ruaki.

I te kaha haere o te mate, ka puta pea ēnei tohu:

• Te pupuhi o te puku.
• Te maroketanga.
• Ka piki ake te tere o te manawa.
• Te tere o te manawa, te uaua rānei o te manawa.
• Te toto toto iti.
• Te pāmahana tinana iti.
• Te kirika me te makariri.
• Te kōwhai o ngā kanohi me te kiri (te whero o te kiri).

He aha ngā āhuatanga kino o te pancreatitis e puta mai ana i ngā kohatu o te puku?

Ki te haere tonu te mumura nui o tō repe taiaki, ka pōturi haere te pakaru o ōna kiko, ā, ka tīmata te heke o te rere o te toto. Ka taea e tēnei te arahi ki te ngaronga o te mahi a te repe taiaki. Mā te mumura tonu ka puta he wai ki roto i ngā kiko i waenganui i ngā whekau (peritonitis). Ka horapa tēnei wai ki roto i te kōhao o te uma, ka pēhi i ngā pukahukahu me te ngākau. I te kohikohinga o tēnei wai, ka heke te nui o te toto o te tinana, ka puta he matewai nui. Ka taea e tēnei te pupuri wai i roto i ngā whatukuhu, ā, ka mutu ka arahi ki tētahi āhuatanga morearea e kiia nei ko te hypovolemic shock.

Ina āraia te kōhatu i roto i te awaawa au, ka raru pea ētahi atu okana e hono ana ki taua pūnaha awaawa. Ka taea e te au te hoki ake ki roto i te ate me te pūkahukahu, ka puta ai te cholecystitis me te mate ate. Ina piki ake te pēhanga i roto i ngā awaawa, ka turuturu ngā wai nakunaku pērā i te au ki roto i te toto. Ka taea e te aukati te tuku i ngā huakita mai i te whekau iti ki te hoki ake ki roto i ngā awaawa, ka puta he mate. Mena ka horapa tēnei mate ki te toto, ka puta he mate pūnaha ka pā ki te tinana katoa, ā, ka arahi pea ki tētahi mate whakamate e kiia nei ko te septic shock.

Me pēhea te tautuhi i tēnei mate?

Ina tae mai koe ki te hōhipera me ngā tohu noa, ka whakamātauhia tuatahitia e te tākuta he whakamātautau toto hei tirotiro i ngā taumata whākōkī o tō repeure. Ka tirohia anō hoki e rātou ngā taumata whākōkī o tō ate kia kitea ai te nui o te kino kua pā ki tō ate. Kātahi ka whakamātauhia e rātou te whakaahua hei tirotiro i tō repeure me te whakatau i te kaha o te mumura.

Mā te tirotiro oro-oro o te puku ka kitea ngā kōhatu i roto i ngā awaawa o te pūkahukahu. Mēnā e tika ana, mā te tirotiro CT ka taea te tirotiro i te repeure me te taipitopito atu. I ētahi wā, i te wā e haere mai ai koe ki te rongoā, kua riro kē pea te kōhatu taketake i tīmata ai te mumura. Engari ki te mea he kōhatu kē atu kei te taha, ka taea e ngā tākuta te whakatau koinei te take.

Me pēhea te rongoā i te pancreatitis e puta mai ana i ngā kohatu o te puku?

Mena he kino rawa tō āhua, ka whakaurua koe ki te wāhanga tiaki nui. I te nuinga o te wā (tata ki te 80%), mena kāore tō āhua i te tino kino, ko te tiaki tautoko te maimoatanga tuatahi. Koinei anake te maimoatanga mō te pancreatitis.

Manaaki tautoko

Ka tīmata te maimoatanga penei:

• Wai IV: Nā te mea he tokomaha ngā tāngata e matewai ana, me whakahoki mai te nui o te toto. Ka whakauruhia e te tīma hauora he catheter tote ki roto i tētahi uaua i tō ringa, i tō ringaringa rānei, ā, ka haere tonu te hoatu wai ki a koe. Kei roto hoki i ēnei wai ngā electrolytes.
• Whakamamae mamae:He nui te mamae o te tini tāngata, nō reira me hoatu he rongoā whakamamae kaha ki a rātou, hei werohanga, hei rongoā tote rānei.
• Te okiokinga o te puku: Me mutu te kai kia marino rā anō tō repe taiaki. Nā te mea i a koe e kai ana, ka kaha te pūnaha nakunaku, ka tohu i tō repe taiaki kia tukuna he nui ake ngā whākōkī, ā, ka tukuna he nui ake te au o tō ate me tō pūkahukahu. Ka taea e tēnei te whakanui ake i te pēhanga ki runga i ō awa au, ka kino ake te āhua.
• Tautoko kai: I runga i te kaha o tō āhua me te roa o tō noho ki te hōhipera, ka tāpirihia pea e tō tīma hauora he iti o te hukahuka ki te wai tote hei hoatu pūngao ki a koe. Ka hoatu pea e rātou he kai mā te ngongo nasogastric, te wai tote rānei.

Hei tāpiri, ka taea te whakahaere i ēnei maimoatanga:

• Rongoā whakapairuaki.
• Te hoatu hāora.
• Ngā rongoā paturopi mēnā kua whakaūtia he mate.
• Te whakauru i tētahi ngongo nasogastric (NG) mā te ihu ki roto i te puku hei tango i te wai mai i te puku.
• Te whakauru i tētahi kati mimi hei tango i te mimi, hei ine hoki i te nui o te mimi e puta mai ana.

Me noho koe i raro i tēnei tiaki tautoko kia tīmata rā anō te marino o tō repe taiaki. I ngā wā kāore i te tino kino, ka ea tēnei i roto i ētahi rā. Ka taea hoki e te tiaki tautoko te āwhina i te kōhatu kia mawhiti i mua i te kino haere.

Ngā tikanga tango kohatu pūkahukahu `(Ngā wawaotanga kohatu pūkahukahu)`

Ā tōna wā, me tango ngā kōhatu pūkahukahu e piri ana ki roto i ō awaawa. Tērā pea ka mahia tēnei hei pokanga ohorere, i muri rānei i te tiaki tautoko. Kei tō āhua tonu. Ahakoa kua ngaro te kōhatu taketake i aukati ai, me tango katoa ngā kōhatu kē atu.

Me mahi pea e koe tētahi, e rua rānei o ēnei tikanga:

• ERCP (Endoscopic retrograde cholangiopancreatography): Ka kiia tēnei ko te ERCP mō te poto. He tikanga tirotiro ā-roto tēnei, ā, ka taea hoki e ngā tākuta te whakatika i ngā raruraru e pā ana ki a rātou i taua wā. Ka tirohia ngā awaawa aukume mā te whakamahi i ngā hihi-X me te endoscope (he ngongo roa me te kāmera e piri ana). Ka whakaurua tēnei endoscope mā te korokoro ki roto i te puku, kātahi ka tukuna tētahi atu ngongo mā roto ki roto i ngā awaawa aukume. Ka taea e te tākuta te kite i ēnei awaawa mā te whakamahi i te hangarau hihi-X fluoroscopic. Ka taea te tuku i ngā taputapu mā roto i te ngongo hei tango i ngā kōhatu aukume, ā, ka taea te whakanoho i ngā stent hei whakamama i ngā aukati.
• Te tango i te pūkahukahu:Mena kua meinga koe kia noho hōhipera nā ngā kōhatu pūkahukahu, he nui ake te tūponotanga ka pāngia anō koe e ngā raruraru. Nō reira, ko te rongoā anake mō ngā kōhatu pūkahukahu e whakararu ana i te pūkahukahu ko te tango i te pūkahukahu. He tikanga tino haumaru, he whai hua hoki tēnei. Ko te tikanga ka mahia tēnei mā te laparoscopic cholecystectomy. Ko te tikanga o tēnei ka mahia he tapahi iti, ā, ka whakaurua he kāmera e kiia nei ko te laparoscope mā roto i tētahi o ngā tapahi hei tango i te pūkahukahu. Ko ētahi tāngata, i runga i tō rātou āhua, me mahi pea i te pokanga tuwhera tuku iho.

Ka taea te ārai i te pancreatitis i puta mai i ngā kohatu o te puku?

Mena kua pāngia koe e ngā tohu o ngā kōhatu pūkahukahu i mua, he tohu whakatūpato tēnā. Me tirotiro koe, ā, me tango atu mēnā kei a koe. He rama whero te kōroke biliary. He mamae e puta ana i te taha matau o tō puku, i raro noa i tō rara matau, te wāhi kei reira tō pūkahukahu. Tērā pea ka kino ake i muri i te kai, ā, ka haere tahi me te whakapairuaki. Mena ka puta mai, ka ngaro atu tēnei kōroke biliary, ko te tikanga he aukati kei roto i te pūkahukahu, i ngā awa pūkahukahu rānei, engari ehara i te aukati katoa. Ka taea e tēnei mamae te puta mai, te ngaro atu i te mea ka kōpiri me te whānui te pūkahukahu. Ka ngāwari te huri hei mea kino ake.

He mea nui: Ko ngā tohu pēnei i te mamae o te puku me te whakapairuaki, inā koa i muri i te kai, he tohu pea tēnei mō te `(biliary colic)`. Kaua rawa e warewarehia te mamae. Rapua he tohutohu hauora hei whakatau i te take. Ko te tere o te maimoatanga mō te pancreatitis, ko te pai ake o te hua o tō whakaoranga.

Kia pēhea te roa o tēnei āhuatanga?

Kāore tēnei e memeha noa iho. Engari ki te mea he āhua ngawari, he kore uaua tō mate, he pai te noho ki te hōhipera mō ētahi rā. Heoi anō, me tango tonu pea he kiriuhi waewae.

Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga?

He tokomaha te hunga me tango i te pokanga cholecystectomy hei tango i tō rātou pūkahukahu. Ko te roa o te wā whakaora ka whakawhirinaki ki te momo pokanga e mahia ana e koe. E rua wiki pea te roa hei whakaora i muri i te pokanga laparoscopic. Mena he pokanga tuwhera tāu, e ono ki te waru wiki pea te roa.

He aha te āhua o te whakaoranga o te hunga kua whakaurua ki te hōhipera mō te pancreatitis nā te mea he kohatu o te pūkahukahu?

Ki te kore he mate kino, he uaua rānei tōu, ka taea e koe te tumanako ka ora katoa koe. Ko te tango i te pūkahukahu he pokanga iti noa iho, he iti noa ngā raruraru. Ahakoa kāore tō pūkahukahu, ka taea tonu e tō pūnaha nakunaku te mahi noa.

Tata ki te 20% o ngā kēhi he kino, he uaua rānei. I roto i ēnei kēhi, he uaua ki te whakakore i te kino kua pā mai. Ahakoa te tiaki nui, tata ki te 25% o ēnei kēhi ka mate pea. Ko te hunga e ora ana me noho ki te hōhipera mō ngā wiki kia ora ai.

Ki te kore koe e mōhio kei a koe ngā kōhatu pūkahukahu (ā, he tokomaha te hunga kāore), tera pea ka ohorere koe, ka manukanuka hoki ina pāngia koe e te mate pāwera i te pūkahukahu nā ngā kōhatu pūkahukahu. Ka tino kino te mamae, ā, ka puta mai pea me te kore take. Ki te whakaaro koe kei a koe ngā kōhatu pūkahukahu, he mea whakaaro nui kia whakamātauria wawetia.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, anei ētahi mea hei maumahara māu mai i ngā mea kua kōrerohia e tātou:

• He mate kino te mate pāwera o te kōhatu o te kānga. Nō reira, ki te pāngia koe e ngā tohu, me toro atu ki te tākuta tonu.
• Ko ngā tohu matua pea ko te mamae nui i te puku o runga, inā koa ki te taha maui, te whakapairuaki, me te ruaki .
• Ka roa ake te whakaroa i te maimoatanga, ka nui ake ngā raruraru ka pā mai.
• Ki te mōhio koe he kohatu tōu, kua pāngia rānei koe e ngā tohu pēnei i te '(biliary colic)', kia tūpato koe.
• He maha ngā wā, ko te tango i te pūhā te otinga tuturu, ā, he pokanga haumaru hoki.
• Ki te pāngia koe e te mamae i te taha matau o runga o tō puku i muri i te kai, he tohu pea tēnei nō te kōhatu o te pūkahukahu. Kōrero ki te tākuta mō tēnei.

Ki te kore koe e mataku, engari me rapu tohutohu hauora tika, ā, me whiwhi hoki i te maimoatanga tika, ka taea e koe te ora katoa i tēnei mate. Mēnā he pātai anō āu, kaua e mangere ki te kōrero ki tō tākuta.

` Ngā kōhatu pūkahukahu, Pancreatitis, Kōhatu pūkahukahu Pancreatitis, Mamae puku, Tango i te pūkahukahu, ERCP, Pancreatitis, Auē